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y v-••. V'f ... ...1 ;,, 21 Wig-., .,ij <br /> `fir <br /> r <br /> Marion County Public Works `, <br /> di ii,i,,, Building Inspection Division <br /> ��1��— 5155 Silverton Rd NE <br /> 1��.` Salem OR 97305 <br /> ;ram _�—:,� <br /> i-----: .- <br /> (503) 588-5147 Fax(503)588-7948 <br /> _` _ 1 http://www/co.marion.or.us <br /> vs <br /> ON-SITE SYSTEM MATERIAL LIST <br /> • (DIRECTIONS&DEFINITIONS ON BACK)• <br /> 7� p t 6� a/311. x <br /> ADDRESS 5 S"� . 5-7 (-u/-� £0. I�e v►� TAX LOT# ,, <br /> SECTION TOWNSHIP RANGE LOT <br /> 7,� SEPTIC TANKS Pi • <br /> . �J ❑ SEPTIC TANK MFG.; is At 1("� G CAPACITY /5 00 6-A,'MATERIAL•.,?1 t1.S 4-1�C.-- <br /> 0 DOSING TANK:MFG. ' CAPACITY MATERIAL <br /> ❑ SEPTIC/DOSING TANK ,❑ SINGLE COMPARTMENT 0 TWO COMPARTMENT 0 FLOW-THROUGH <br /> MFG. • CAPACITY MATERIAL <br /> Ayt4.1 VJDyo'/`cy etit,A fG J . — . MFG.'S SPECS. INCLUDED ❑ <br /> 11.\ PUMPING ASSEMBLIES J/ ��++ -7 <br /> PUMP 1: MFG. Z 0 e I G is MODELa( (� Ses.v .3 e- (INCLUDE PERFORMANCE CURVE) M - <br /> PUMP 2: MFG. MODEL (INCLUDE PERFORMANCE CURVE) 0 <br /> CONTROL PANEL: MFG. MODEL 0 <br /> HYDROSPLITTER: MFG. MODEL (INCLUDE ORIFICE CALCULATIONS) 0 • <br /> EFFLUENT FILTER: MFG. MODEL t Act 0 <br /> DISTRIBUTION VALVE:MFG. MODEL n 0 <br /> 7. <br /> 3. EFFLUENT TRANSPORT PIPING ,'T. <br /> ❑ GRAVITY EFFLUENT SEWER LENGTH r DIAMETER MATERIAL FALL(IN INCHES) <br /> O PRESSURE PIPING: LENGTH DIAMETER MATERIAL PSI <br /> 4. DISPOSAL FIELD(DRAINFIELD) u`17,5 <br /> DISTRIBUTION TECHNIQUE: 0 EQUAL 0 LOOP - 0 SERIAL 0 PRESSURIZED <br /> TOTAL LINEAR FOOTAGE: <br /> DRAIN MEDIA: 0 GRAVEL-LESS ABSORPTION METHOD 0 ROCK&PIPE 0 OTHER <br /> TOTAL DEPTH DEPTH BELOW PIPE <br /> TRENCH DEPTH(FROM ORIGINAL GROUND SURFACE)*?MIN MAX <br /> CAPPING FILL DEPTH(DEPTH OF CAP): <br /> r, ' <br /> SETBACKS FROM WELLS: SEPTIC TANK SAND FILTER OR KIT UNIT DRAINFIELD <br /> 5. DEWATERING SYSTEMS(IF REQUIRED) <br /> O CURTAIN DRAIN 0 TILE DEWATERING <br /> TRENCH DEPTH: , • <br /> ti <br /> DRAIN MEDIA: 0 ROCK&PIPE ' • 0 OTHER <br /> TOTAL DEPTH DEPTH BELOW PIPE 0 FILTER FABRIC c4 <br /> PERFORATED PIPING: DIAMETER * MATERIAL <br /> 6. ADVANCED TREATMENT UNITS [.9 <br /> O SAND FILTER 0 RGF 0 ATT: TYPE <br /> GABUILDING INSPECTIONTORMS\SEPTIC\F'ORMS\S-60 MATERIALS LIST.DOCX Rev 3/18 <br /> 1 <br />